ANCIENT AND ACCEPTED SCOTTISH RITE
OF FREEMASONRYSouthern Jurisdiction, Valley of Yankton, South Dakota

I
am a Master Mason in good standing, eligible to petition for the Scottish Rite
Degrees, (if a member of a South Dakota Lodge, I have proved up on the Master
Mason Degree) reside as shown below and am a qualified
voter of such state. I have never applied for any of the Scottish Rite
Degrees and I now respectfully petition to receive the degrees from the 4th
to the 32nd inclusive, promising always to bear
true faith and allegiance to the Supreme Council of the Thirty-third
Degree for the Southern Jurisdiction of the United States.

The Supreme Council announces as
fundamental principles the following:
"The inculcation of patriotism, respect for law and order and undying
loyalty to the principles of civil and religious liberty and the entire
separation of church and state as set forth in the constitution of the United
States."
Do you approve wholeheartedly of these principles?________________________________________________________

Have you ever held or expressed
opinions contrary to the foregoing or been affiliated with any organization
that has?________ If you answer in the
affirmative, give particulars:
____________________________________________________________________________________

FEES:
Initiation fees for the degrees from 4th to 32nd are $175
or $100 for those under age 31. A deposit of $50 must accompany petition. Flexible
payment plans are available for the balance. Please complete this petition
and mail check and Petition to: Yankton Scottish Rite, 333 Cedar St., Yankton,
SD 57078, Lodge phone number 665-2414. Any Master Mason may apply for the
degrees for the Scottish Rite provided he is in good standing
, has proved up to the Master Mason degree, and is recommended by two
Members of the Rite